Ambrosia Of Medford LLC
Substance Abuse Rehabilitation Facility in Medford, New Jersey
1770055428- Practice location
- 283 Old Marlton Pike, Medford, NJ 08055-8761
- Phone
- 714-828-1800
- Fax
- 714-882-1186
- Last updated
- May 8, 2023
Ambrosia Of Medford LLC is a healthcare organization based in Medford, NJ. Ambrosia Of Medford LLC practices in Medford, NJ. The NPI Number for Ambrosia Of Medford LLC is 1770055428. The current practice location address for Ambrosia Of Medford LLC is 283 Old Marlton Pike, Medford, NJ 08055-8761 and can be reached out via phone at 714-828-1800 and via fax at 714-882-1186.
Provider Profile Details
- NPI Number
- 1770055428
- Provider Name
- Ambrosia Of Medford LLC
- Provider Entity Type
- Organization
- Address
- 283 Old Marlton Pike, Medford, NJ 08055-8761
- Phone Number
- 714-828-1800
- Fax Number
- 714-882-1186
- Primary Taxonomy
- Substance Abuse Rehabilitation Facility · 324500000X
- Organization Subpart
- Yes
- Parent Organization
- Discovery Practice Management, INC.
- Authorized Official
- Magdalen Gustilo · Director Of Payer Relations · 714-568-7667
- Other Names
- Pinelands Recovery Center Of Medford (Doing Business As)
- Provider Enumeration Date
- December 19, 2018
- Last Update Date
- May 8, 2023
- Certification Date
- May 8, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 283 Old Marlton Pike
Medford, NJ 08055-8761 - City
- Medford
- State
- New Jersey
- Zip
- 08055-8761
- Phone Number
- 714-828-1800
- Fax Number
- 714-882-1186
Provider Business Mailing Address Details
- Address
- 18401 Von Karman Ave Ste 500
Irvine, CA 92612-8531 - City
- Irvine
- State
- CA
- Zip
- 92612-8531
- Phone Number
- 714-828-1800
- Fax Number
- 714-882-1186
License Information
- Taxonomy
- Substance Abuse Rehabilitation Facility · 324500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Substance Abuse Rehabilitation Facility providers near Medford, NJ
View all Substance Abuse Rehabilitation Facility providers in Medford →- Ambrosia Of Medford LLCSubstance Abuse Rehabilitation Facility · NPI 1174117964
- Ambrosia Of New Jersey LLCSubstance Abuse Rehabilitation Facility · NPI 1194298976
- Pinelands Aba Connection LLC.Community/Behavioral Health · NPI 1396653408
- Rebecca Fanali, DIPLOMAcupuncturist · NPI 1750954657
- Veracity Psychotherapy, LLCClinic/Center, Adult Mental Health · NPI 1477453934
- Shannon A Hensel, LACCounselor · NPI 1043952757
Frequently Asked Questions
What is the NPI number of Ambrosia Of Medford LLC?
The NPI number of Ambrosia Of Medford LLC is 1770055428. It was assigned on December 19, 2018 and is currently active in the NPPES registry.
What is the specialty of Ambrosia Of Medford LLC?
Ambrosia Of Medford LLC is registered under the primary taxonomy Substance Abuse Rehabilitation Facility (code 324500000X).
Where does Ambrosia Of Medford LLC practice?
The practice location is 283 Old Marlton Pike, Medford, NJ 08055-8761. The office can be reached at 714-828-1800 (phone) or 714-882-1186 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770055428 directly on the NPPES registry website.